Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data

AIMS: This claims data-based study compares the intensity of diabetes care in community dwellers and nursing home residents with dementia. METHODS: Delivery of diabetes-related medical examinations (DRMEs) was compared via logistic regression in 1,604 community dwellers and 1,010 nursing home reside...

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Detalles Bibliográficos
Autores principales: Schwarzkopf, Larissa, Holle, Rolf, Schunk, Michaela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2017
Materias:
Original Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346922/
https://www.ncbi.nlm.nih.gov/pubmed/28413415
http://dx.doi.org/10.1159/000455071
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author Schwarzkopf, Larissa
Holle, Rolf
Schunk, Michaela
author_facet Schwarzkopf, Larissa
Holle, Rolf
Schunk, Michaela
author_sort Schwarzkopf, Larissa
collection PubMed
description AIMS: This claims data-based study compares the intensity of diabetes care in community dwellers and nursing home residents with dementia. METHODS: Delivery of diabetes-related medical examinations (DRMEs) was compared via logistic regression in 1,604 community dwellers and 1,010 nursing home residents with dementia. The intra-individual effect of nursing home transfer was evaluated within mixed models. RESULTS: Delivery of DRMEs decreases with increasing care dependency, with more community-living individuals receiving DRMEs. Moreover, DRME provision decreases after nursing home transfer. CONCLUSION: Dementia patients receive fewer DRMEs than recommended, especially in cases of higher care dependency and particularly in nursing homes. This suggests lacking awareness regarding the specific challenges of combined diabetes and dementia care.
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spelling pubmed-53469222017-04-14 Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data Schwarzkopf, Larissa Holle, Rolf Schunk, Michaela Dement Geriatr Cogn Dis Extra Original Research Article AIMS: This claims data-based study compares the intensity of diabetes care in community dwellers and nursing home residents with dementia. METHODS: Delivery of diabetes-related medical examinations (DRMEs) was compared via logistic regression in 1,604 community dwellers and 1,010 nursing home residents with dementia. The intra-individual effect of nursing home transfer was evaluated within mixed models. RESULTS: Delivery of DRMEs decreases with increasing care dependency, with more community-living individuals receiving DRMEs. Moreover, DRME provision decreases after nursing home transfer. CONCLUSION: Dementia patients receive fewer DRMEs than recommended, especially in cases of higher care dependency and particularly in nursing homes. This suggests lacking awareness regarding the specific challenges of combined diabetes and dementia care. S. Karger AG 2017-02-10 /pmc/articles/PMC5346922/ /pubmed/28413415 http://dx.doi.org/10.1159/000455071 Text en Copyright © 2017 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission.
spellingShingle Original Research Article
Schwarzkopf, Larissa
Holle, Rolf
Schunk, Michaela
Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data
title Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data
title_full Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data
title_fullStr Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data
title_full_unstemmed Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data
title_short Effects of Nursing Home Residency on Diabetes Care in Individuals with Dementia: An Explorative Analysis Based on German Claims Data
title_sort effects of nursing home residency on diabetes care in individuals with dementia: an explorative analysis based on german claims data
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346922/
https://www.ncbi.nlm.nih.gov/pubmed/28413415
http://dx.doi.org/10.1159/000455071
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AT schunkmichaela effectsofnursinghomeresidencyondiabetescareinindividualswithdementiaanexplorativeanalysisbasedongermanclaimsdata

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